Organization Active NPI

Pittsburgh West OB GYN LTD

  • Specialist
  • Moon Township, PA
National Provider Identifier
1568580686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD034775L Issued in PA
Legal business name
PITTSBURGH WEST OB GYN LTD
Practice address
960 Beaver Grade Rd
Moon Township, PA 15108-2718
Phone
(412) 264-4741
Fax
(412) 269-1417
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ook Jai Lee, MDNPI 1972566198
Title
President
Phone
(412) 264-4741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD034775L PA Primary

Addresses

Primary practice location

960 Beaver Grade Rd
Moon Township, PA 15108-2718

Mailing address

960 Beaver Grade Rd
Moon Township, PA 15108-2718
Phone (412) 264-4741

Other identifiers 1

IdentifierTypeStateIssuer
0015111310004MedicaidPA

National Provider Directory

National Provider Directory

Locations

1764 Pine Hollow Rd
Mc Kees Rocks, PA 15136
Phone (412) 331-2622

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568580686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082718",
            "telephone_number": "412-264-4741",
            "fax_number": "412-269-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082718",
            "telephone_number": "412-264-4741",
            "fax_number": "412-269-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH WEST OB GYN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "OOK",
        "authorized_official_middle_name": "JAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-264-4741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD034775L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015111310004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.